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The dose of Rocaltrol should be carefully adjusted for each patient according to the biological response so as to avoid hypercalcaemia.
This medication may be available under multiple brand names and/or in several different formsAny specific brand name of this medication may not be available in all of the forms or approved for all of the conditions discussed hereAs wellsome forms of this medication may not be used for all of the conditions discussed here.
If hypercalcemia ensuesgreater than 1 mg/dL above the upper limit of the normal rangeadjust dosage to achieve normocalcemia by reducing Rocaltrolcalcitrioltherapy from 0.5 mcg to 0.25 mcg dailyIf the patient is receiving a therapy of 0.25 mcg dailydiscontinue Rocaltrolcalcitrioluntil patient becomes normocalcemicCalcium supplements should also be reduced or discontinuedSerum calcium levels should be determined 1 week after withdrawal of calcium supplementsIf serum calcium levels have returned to normalRocaltrolcalcitrioltherapy may be reinstituted at a dosage of 0.25 mcg/day if previous therapy was at a dosage of 0.5 mcg/dayIf Rocaltrolcalcitrioltherapy was previously administered at a dosage of 0.25 mcg/dayRocaltrolcalcitrioltherapy may be reinstituted at a dosage of 0.25 mcg every other dayIf hypercalcemia is persistent at the reduced dosageserum PTH should be measuredIf serum PTH is normaldiscontinue Rocaltrolcalcitrioltherapy and monitor patient in 3 monthstime.
While you are taking calcitriolit is important that you follow any dietary suggestions your doctor has providedDo not increase or decrease the amount of calcium in your diet without discussing the change with your doctor first.
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